Individual provider Active NPI

Christie Marie Ketler

  • Adult Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1871309518
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.0037950 Issued in OH
Practice address
1354 Wilbur Ave
Akron, OH 44301-2159
Phone
(330) 283-5456
NPI assigned
Dec 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.0037950 OH Primary

Addresses

Primary practice location

1354 Wilbur Ave
Akron, OH 44301-2159

Mailing address

1354 Wilbur Ave
Akron, OH 44301-2159
Phone (330) 283-5456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224002875 OH Practitioner - Nurse Practitioner 6305366105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332

1835 Franks Pkwy
Green, OH 44685-6249
Phone (330) 319-9700

500 Portage Lakes Dr
Coventry Township, OH 44319-2299
Phone (234) 571-9933

525 E Market St
Akron, OH 44304-1619

91 5TH St SE
Barberton, OH 44203-4203
Phone (330) 753-1383

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0037950OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Jan 26, 2025 Accepting new patients
Summa Physicians LLC CurrentSince Jan 26, 2025 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

75 Arch St
Ste 501
Akron, OH 44304
Phone (330) 319-9700

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

155 5th St NE
Ste 106
Barberton, OH 44203
Phone (330) 615-3283

1835 Franks Pkwy
Green, OH 44685
Phone (330) 376-7000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1871309518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 WILBUR AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443012159",
            "telephone_number": "330-283-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 WILBUR AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443012159",
            "telephone_number": "330-283-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETLER",
        "first_name": "CHRISTIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0037950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.